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돼지진피조직(Porcine Dermal Matrix, )을 이용한 보형물 유방재건술: 무세포성 사체 진피 (Acellular Cadaveric Dermis, )와 비교 연구

Other Titles
 Implant Breast Reconstruction Using Porcine Dermal Matrix(Permacol(R)): A Comparative Study with Acellular Cadaveric Dermis(AlloDerm(R)). 
 정보람  ;  노태석  ;  김영석  ;  홍종원  ;  나동균 
 Journal of the Korean Society of Plastic and Reconstructive Surgery (대한성형외과학회지), Vol.38(5) : 559-566, 2011 
Journal Title
 Journal of the Korean Society of Plastic and Reconstructive Surgery  (대한성형외과학회지) 
Issue Date
PURPOSE: The use of tissue expander/implant in breast reconstruction using tissue expander-implant is one of the most common surgical procedures. The use of AlloDerm as a sling to reestablish the lower pole of the pectoralis major muscle results a decrease in morbidity compared with more invasive procedures. However the use of AlloDerm is more expensive than other options. We decided to compare AlloDerm with Permacol, which has been safely used in human body reconstruction and is less costly than AlloDerm. METHODS: After mastectomy, the inferolateral origin of the pectoralis major muscle was elevated. Either AlloDerm or Permacol was sutured to the chest wall at the level of the previously marked inframammary fold. The lower border of the pectoralis major muscle and the upper portion of the crescent-shaped piece of either AlloDerm or Permacol was sutured together using a tension free technique, and a tissue expander was subsequently inserted into the subpectoral-subAlloDerm (or Permacol) dual pocket. RESULTS: AlloDerm was used in twenty-one patients(28 breasts) and Permacol was used in six patients(11 breasts) for tissue expander-implant breast reconstruction. During the mean follow-up period of 17 months(8~25 months). Two infections(7%) occurred in AlloDerm cases and four infections(36%) occurred in Permacol cases. CONCLUSION: This study is the first comparison of tissue expander/implant breast reconstruction using AlloDerm and Permacol. The use of Permacol resulted in more postoperative infection compared with the use of AlloDerm. This report is still limited with the small number of cases studied.
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실)
Yonsei Authors
김영석(Kim, Young Seok) ; 나동균(Rah, Dong Kyun) ; 노태석(Roh, Tai Suk) ; 홍종원(Hong, Jong Won)
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